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Organization and Basis of Presentation (Details)
member in Thousands, $ in Millions
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Apr. 22, 2021
USD ($)
Sep. 30, 2020
USD ($)
Jun. 30, 2021
USD ($)
position
member
Jun. 30, 2020
USD ($)
Jun. 30, 2021
USD ($)
position
member
Jun. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
member
Segment Reporting Information [Line Items]              
Number of states with programs | position     18   18    
Premium revenue     $ 6,583 $ 4,372 $ 12,889 $ 8,676  
Cigna Corporation's Texas Medicaid and Medicare-Medicaid Plan              
Segment Reporting Information [Line Items]              
Premium revenue             $ 1,000
Cigna Corporation's Texas Medicaid and Medicare-Medicaid Plan | Hidalgo, Tarrant and Northeast Service Areas              
Segment Reporting Information [Line Items]              
Number of members covered | member             48
Cigna Corporation's Texas Medicaid and Medicare-Medicaid Plan | Hidalgo Service Area              
Segment Reporting Information [Line Items]              
Number of members covered | member             2
Cigna Corporation's Texas Medicaid and Medicare-Medicaid Plan              
Segment Reporting Information [Line Items]              
Total Purchase price $ 60            
Affinity health plan              
Segment Reporting Information [Line Items]              
Net cash paid in business combinations   $ 380          
Health Plans              
Segment Reporting Information [Line Items]              
Number of members eligible for the health care programs, approximately | member     4,700   4,700    
Minimum | Health Plans              
Segment Reporting Information [Line Items]              
Contract term         3 years    
Maximum | Health Plans              
Segment Reporting Information [Line Items]              
Contract term         5 years