10-Q Organization (Details) individuals in Millions	Sep. 30, 2023 individuals county states	Dec. 31, 2022 individuals counties states
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Number of Medical Members \| individuals	47.0	47.5
Number of counties in the Kansas City area the Company does not serve	30	30
Number of states in which the Company is licensed to conduct insurance operations \| states	50	50

The number of states the entity operates in as of the balance sheet date.

No definition available.

Name:	us-gaap_NumberOfStatesInWhichEntityOperates
Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant