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Segment and Geographic Information - Segment Operating Results (Details) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Segment Reporting Information [Line Items]      
Total revenue $ 452,871,000 $ 405,356,000 $ 538,199,000
Stock-based compensation expense (23,213,000) (20,316,000) (32,857,000)
Depreciation and amortization (19,916,000) (21,108,000) (18,331,000)
Impairment, restructuring and other charges 0 (19,616,000) (51,222,000)
Amortization of intangible assets 0 0 (536,000)
Interest expense 10,974,000 7,627,000 845,000
Other income, net 9,453,000 3,951,000 1,600,000
Loss before income taxes (30,595,000) (106,389,000) (124,890,000)
Operating Segments      
Segment Reporting Information [Line Items]      
Total revenue 452,871,000 405,356,000 538,199,000
Segment profit 80,589,000 11,565,000 33,626,000
Operating Segments | Medicare      
Segment Reporting Information [Line Items]      
Total revenue 406,467,000 361,687,000 471,217,000
Segment profit 54,748,000 (9,873,000) (12,079,000)
Operating Segments | Employer and Individual      
Segment Reporting Information [Line Items]      
Total revenue 46,404,000 43,669,000 66,982,000
Segment profit 25,841,000 21,438,000 45,705,000
Corporate      
Segment Reporting Information [Line Items]      
Segment profit $ (66,534,000) $ (53,238,000) $ (56,325,000)