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Organization and Basis of Presentation (Details)
member in Millions, $ in Millions
 1 Months Ended 12 Months Ended
Jul. 13, 2022
USD ($)
Sep. 30, 2022
Aug. 31, 2022
Sep. 30, 2021
Dec. 31, 2022
segment
member
state
Basis Of Presentation [Line Items]          
Number of reportable segments | segment         4
Contract term       4 years  
Extension period       2 years  
Nebraska          
Basis Of Presentation [Line Items]          
Contract term   5 years      
Extension period   2 years      
Iowa          
Basis Of Presentation [Line Items]          
Contract term     4 years    
Extension period     4 years    
Mississippi          
Basis Of Presentation [Line Items]          
Contract term     4 years    
Extension period     2 years    
My Choice Wisconsin          
Basis Of Presentation [Line Items]          
Purchase price | $ $ 150        
Health Plans          
Basis Of Presentation [Line Items]          
Number of members eligible for the health care programs, approximately | member         5.3
Number of states with programs | state         19
Minimum | Health Plans          
Basis Of Presentation [Line Items]          
Contract term         3 years
Minimum | Health and human services          
Basis Of Presentation [Line Items]          
Contract term         1 year
Maximum | Health Plans          
Basis Of Presentation [Line Items]          
Contract term         5 years
Maximum | Health and human services          
Basis Of Presentation [Line Items]          
Contract term         3 years