Revenue - Contract balances (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Contract balances
Contract assets	$ 6,857	$ 1,842
Contract liabilities	4,240	1,350
Data analysis
Contract balances
Contract assets	4,732	$ 1,842
MRM services
Contract balances
Contract assets	2,030
Health plan management services
Contract balances
Contract assets	$ 95

Amount of obligation to transfer good or service to customer for which consideration has been received or is receivable.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 45
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=82913815&loc=SL49130531-203044

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=82913815&loc=SL49130532-203044

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 8
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130549-203045

Name:	us-gaap_ContractWithCustomerLiability
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant