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MEDICAL COSTS PAYABLE
6 Months Ended
Jun. 30, 2023
Insurance [Abstract]  
MEDICAL COSTS PAYABLE MEDICAL COSTS PAYABLE
The following table shows the components of the change in medical costs payable for the six months ended June 30 (in thousands):

June 30,
20232022
Medical costs payable - January 1$116,021 $6,764 
Incurred related to:
Current year504,307 312,339 
Prior year1,029 (2,089)
Total incurred505,336 310,250 
Paid related to:
Current year347,629 210,452 
Prior year93,873 4,547 
Total paid441,502 214,999 
Medical costs payable - June 30$179,855 $102,015 

Medical costs payable attributable to prior years increased by $1.0 million and decreased by $2.1 million for the six months ended June 30, 2023 and 2022, respectively. Medical costs payable estimates are adjusted as additional information regarding claims becomes known; there were no significant changes to estimation methodologies during the periods.

The table below details the components making up the medical costs payable as of June 30 (in thousands):

June 30,
20232022
Provider incentive payable$27,884 $— 
Incurred but not reported (IBNR)151,971 102,015 
Total medical costs payable$179,855 $102,015 

Medical costs payable are primarily related to the current year. The Company has recorded claims adjustment expense as a component of operating costs in the Condensed Consolidated Statements of Income (Loss).