v3.24.2
Medical Claims Payable
 6 Months Ended
Jun. 30, 2024
Insurance [Abstract]  
Medical Claims Payable Medical Claims Payable
A reconciliation of the beginning and ending balances for medical claims payable for the six months ended June 30, 2024 and 2023 is as follows:
20242023
Gross medical claims payable, beginning of period$15,865 $15,348 
Ceded medical claims payable, beginning of period(7)(6)
Net medical claims payable, beginning of period15,858 15,342 
Net incurred medical claims:
Current period60,551 61,290 
Prior periods redundancies(1,473)(1,112)
Total net incurred medical claims59,078 60,178 
Net payments attributable to:
Current period medical claims48,297 48,217 
Prior periods medical claims11,584 11,409 
Total net payments59,881 59,626 
Net medical claims payable, end of period15,055 15,894 
Ceded medical claims payable, end of period12 8 
Gross medical claims payable, end of period$15,067 $15,902 
At June 30, 2024, the total of net incurred but not reported liabilities plus expected development on reported claims was $452, $2,349 and $12,254 for the claim years 2022 and prior, 2023 and 2024, respectively.
The favorable development recognized in the six months ended June 30, 2024 resulted from faster than expected development of completion factors from the latter part of 2023 as well as trend factors in late 2023 developing more favorably than originally expected. The favorable development recognized in the six months ended June 30, 2023 resulted primarily from trend factors in late 2022 developing more favorably than expected. Favorable development in the completion factors resulting from the latter part of 2022 developing faster than expected also contributed.
The reconciliation of net incurred medical claims to benefit expense included in our consolidated statements of income for the six months ended June 30, 2024 and 2023 is as follows:
20242023
Total net incurred medical claims$59,078 $60,178 
Quality improvement and other claims expense2,040 2,212 
Benefit expense$61,118 $62,390 
The reconciliation of the medical claims payable reflected in the tables above to the consolidated ending balance for medical claims payable included in the consolidated balance sheet, as of June 30, 2024 is as follows:
Total
Net medical claims payable, end of period$15,055 
Ceded medical claims payable, end of period12 
Insurance lines other than short duration248 
Liabilities held for sale
(111)
Gross medical claims payable, end of period$15,204