Provider Liability - Unpaid Claims (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2022 USD ($)
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Beginning balance	$ 140,708
Claims paid:
Ending balance	254,278
At-Risk Capitation Arrangements
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Beginning balance	0
Incurred health care costs:
Current year	160,607
Prior years	0
Total claim incurred	160,607
Claims paid:
Current year	(124,385)
Prior year	0
Total claims paid	(124,385)
Adjustments to other claims-related liabilities	0
Ending balance	$ 36,222