v2.4.0.8

Segment Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014 segments	Sep. 30, 2013 segments
Number of Reportable Segments			2	2
Revenues	$ 4,351,861	$ 2,795,568	$ 11,835,449	$ 7,931,589
Premium and service revenues	4,159,089	2,726,064	11,252,237	7,666,808
Earnings (loss) from operations	107,932	83,992	270,638	192,329
Intersegment Eliminations [Member]
Premium and service revenues	(821,417)	(549,833)	(2,162,772)	(1,620,785)
Earnings (loss) from operations	0	0	0	0
Operating Segments [Member] | Medicaid Managed Care [Member]
Premium and service revenues	3,746,076	2,512,001	9,967,260	7,153,545
Earnings (loss) from operations	79,702	71,336	187,653	126,196
Operating Segments [Member] | Specialty Services [Member]
Premium and service revenues	1,234,430	763,896	3,447,749	2,134,048
Earnings (loss) from operations	28,230	12,656	82,985	66,133
Internal Customer [Member]
Revenues	0	0	0	0
Internal Customer [Member] | Intersegment Eliminations [Member]
Revenues	(821,417)	(549,833)	(2,162,772)	(1,620,785)
Internal Customer [Member] | Operating Segments [Member] | Medicaid Managed Care [Member]
Revenues	15,339	9,864	41,953	30,209
Internal Customer [Member] | Operating Segments [Member] | Specialty Services [Member]
Revenues	806,078	539,969	2,120,819	1,590,576
External Customer [Member]
Revenues	4,159,089	2,726,064	11,252,237	7,666,808
External Customer [Member] | Intersegment Eliminations [Member]
Revenues	0	0	0	0
External Customer [Member] | Operating Segments [Member] | Medicaid Managed Care [Member]
Revenues	3,730,737	2,502,137	9,925,307	7,123,336
External Customer [Member] | Operating Segments [Member] | Specialty Services [Member]
Revenues	$ 428,352	$ 223,927	$ 1,326,930	$ 543,472

X

- Definition

Premiums earned on the income statement for all insurance and reinsurance contracts after subtracting any amounts ceded to another insurer and adding premiums assumed from other insurers, plus aggregate revenue during the period from services rendered in the normal course of business, after deducting allowances and discounts. Premium and service revenues exclude Premium Tax Revenue.

+ References

No definition available.

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X

- Definition

Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements.

+ References

No definition available.

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X

- Definition

The net result for the period of deducting operating expenses from operating revenues.

+ References

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X

- Definition

Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 225

-SubTopic 10

-Section S99

-Paragraph 2

-Subparagraph (SX 210.5-03.1)

-URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 03

-Paragraph 1

-Article 5

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