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Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Medical Liabilities [Roll Forward]    
Medical liabilities, beginning of period $ 58,725 $ 33,642
Components of medical care costs related to claims incurred:    
Current period 85,928 31,870
Prior periods (602) 3,105
Total medical care costs 85,326 34,975
Payments for medical care costs related to claims incurred:    
Current period (37,004) (16,587)
Prior periods (43,247) (28,850)
Total paid (80,251) (45,437)
Adjustments (102) 86
Medical liabilities, ending balance $ 63,698 $ 23,266