MEDICAL COSTS PAYABLE (Tables)

12 Months Ended

Dec. 31, 2022

Insurance [Abstract]

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense

The table below details the components making up the medical costs payable within current liabilities of discontinued operations as of December 31 (in thousands):

	2022		2021
Claims unpaid	$	60,477	$	19,773
Provider incentive payable	3,446		11,352
Claims adjustment expense liability	45,932		9,786
Incurred but not reported (IBNR)	575,930		513,877
Total medical costs payable of discontinued operations	$	685,785	$	554,788

The following table shows the components of the change in medical costs payable for the years ended December 31 (in thousands):

	2022		2021		2020
Medical costs payable – January 1	$	263,187	$	121,309	$	4,458
Incurred related to:
Current year	2,201,937		1,298,264		445,620
Prior year	7,456		3,510		6,877
Total incurred	2,209,393		1,301,774		452,497
Paid related to:
Current year	1,793,613		1,114,903		458,678
Prior year	267,214		124,462		8,379
Total paid	2,060,827		1,239,365		467,057
Acquired claims liabilities	—		79,469		131,411
Medical costs payable – December 31	$	411,753	$	263,187	$	121,309

The table below details the components making up the medical costs payable as of December 31 (in thousands):

	2022		2021
Claims unpaid	$	41,567	$	17,101
Provider incentive payable	37,771		74,191
Claims adjustment expense liability	7,290		4,346
Incurred but not reported (IBNR)	325,125		167,549
Total medical costs payable	$	411,753	$	263,187

Short-duration Insurance Contracts, Claims Development

The information about incurred and paid claims development for the years ended December 31, 2020 through 2022 is presented as supplementary information as follows and is inclusive of claims incurred and paid related to BND, PMA, CHP and Centrum prior and subsequent to the acquisition dates (in thousands):

	Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance (in thousands)				Total Incurred but Not Reported Liabilities Plus Expected Development on Reported Claims
	For the Years Ended December 31,
	(Unaudited)	(Unaudited)
Accident Year	2020	2021	2022
2020	1,180,234	1,180,196	1,182,477		1,190
2021		1,408,909	1,416,365		2,255
2022			2,201,937		397,100
Total			$	4,800,779

	Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance (in thousands)
	For the Years Ended December 31,
	(Unaudited)	(Unaudited)
Accident Year	2020	2021	2022
2020	979,099	1,176,014	1,181,287
2021		1,150,523	1,414,110
2022			1,804,837
Total			$	4,400,234
All outstanding liabilities before 2020, net of reinsurance			16
Liabilities for claim and claim adjustment expenses, net of reinsurance			$	400,561

	December 31, 2022
Net outstanding liabilities	$	400,561
Reinsurance recoverable on unpaid claims	11,192
Total gross liability for unpaid claims and claims	$	411,753