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Operating Segments, Geographic Information and Significant Customers (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
 [1]
Sep. 30, 2017
 [1]
Jun. 30, 2017
 [1]
Mar. 31, 2017
 [1]
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Segment Reporting Information [Line Items]                      
Revenue $ 134,917 $ 40,751 $ 32,657 $ 43,070 $ 83,118 $ 31,466 $ 34,566 $ 41,556 $ 251,395 $ 190,706 [1],[2],[3] $ 193,324 [2],[3]
Stock-based compensation expense                 (12,289) (9,694) (7,266)
Depreciation and amortization                 (2,479) (2,837) [4] (3,539) [4]
Change in fair value of earnout liability                 (12,300) 0 [3],[4] 0 [3],[4]
Restructuring (charge) benefit                 (1,865) 0 [3] 297 [3]
Acquisition costs                 (76) (621) [3] 0 [3]
Amortization of intangible assets                 (2,091) (1,040) [3],[4] (1,040) [3],[4]
Other income, net                 755 1,182 [3] 1,149 [3]
Income (loss) before provision (benefit) for income taxes                 3,306 (8,270) [3] 3,972 [3]
Operating Segments                      
Segment Reporting Information [Line Items]                      
Revenue                 251,395 190,706 193,324
Segment profit (loss)                 66,647 31,710 43,444
Operating Segments | Medicare                      
Segment Reporting Information [Line Items]                      
Revenue                 210,570 142,448 122,156
Segment profit (loss)                 60,844 22,137 10,394
Operating Segments | Individual, Family and Small Business                      
Segment Reporting Information [Line Items]                      
Revenue                 40,825 48,258 71,168
Segment profit (loss)                 5,803 9,573 33,050
Income (loss) before provision (benefit) for income taxes                   (8,270) 3,972
Corporate                      
Segment Reporting Information [Line Items]                      
Segment profit (loss)                 $ (32,996) $ (26,970) $ (29,073)
[1] As adjusted for the adoption of ASC 606 using the full retrospective method
[2] As adjusted for the adoption of ASC 606 using the full retrospective method
[3] As adjusted for the adoption of ASC 606 using the full retrospective method.
[4] As adjusted for the adoption of ASC 606 using the full retrospective method.