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Business Combinations - Narrative (Details)
member in Thousands, $ in Thousands
 1 Months Ended 6 Months Ended 12 Months Ended
Jul. 01, 2020
USD ($)
member
Dec. 31, 2020
USD ($)
member
security
Sep. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
member
security
business_combination
Dec. 31, 2020
USD ($)
business_combination
member
security
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Sep. 01, 2020
USD ($)
Business Acquisition [Line Items]                
Number of business combinations | business_combination       3 3      
Acquisition costs         $ 16,000      
Net cash paid in business combinations         755,000 $ 0 $ 0  
Contingent consideration liabilities   $ 46,000 $ 46,000 $ 46,000 $ 46,000      
Business combination goodwill is deductible for income tax purposes   27.00%            
Health Plans                
Business Acquisition [Line Items]                
Number of members eligible for the health care programs, approximately | member   200   200 200      
Goodwill   $ 692,000   $ 692,000 $ 692,000 143,000 $ 143,000  
Magellan Complete Care                
Business Acquisition [Line Items]                
Ownership percentage   100.00%   100.00% 100.00%      
Net cash paid in business combinations   $ 1,037,000            
Total purchase consideration paid         $ 1,008,000      
Purchase price         850,000      
Preliminary closing adjustments         158,000      
Contingent consideration liabilities   $ 29,000   $ 29,000 $ 29,000      
Number of states in which company operates (in state) | security   6   6 6      
Revenue of acquired business         $ 2,900,000      
Pro forma revenue         22,400,000 19,600,000    
Pro forma earnings         $ 833,000 $ 772,000    
Passport Health Plan Inc                
Business Acquisition [Line Items]                
Purchase price     66,000          
Preliminary closing adjustments     $ 20,000          
Number of members eligible for the health care programs, approximately | member   337   337 337      
Goodwill               $ 30,000
Your Care Health Plan Inc                
Business Acquisition [Line Items]                
Preliminary closing adjustments $ 42,000              
Number of members eligible for the health care programs, approximately | member 47              
Goodwill $ 31,000