Goodwill - Narrative (Details) $ in Thousands	3 Months Ended				12 Months Ended
	Sep. 30, 2023 USD ($)	Jun. 30, 2023 USD ($)	Sep. 30, 2022 USD ($) segment	Mar. 31, 2022 USD ($)	Dec. 31, 2023 USD ($) segment	Dec. 31, 2022 USD ($)
Goodwill [Line Items]
Impairment charge for goodwill			$ 89,100		$ 42,924	$ 94,643
Number of operating business segments | segment			2		3
Goodwill				$ 5,500		5,403
Goodwill reclassified to assets held for sale						35,353
Integrated Care Management
Goodwill [Line Items]
Impairment charge for goodwill	$ 34,600				$ 34,600	87,500
Services
Goodwill [Line Items]
Impairment charge for goodwill					6,400	$ 1,600
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Innovations Group
Goodwill [Line Items]
Total loss on disposal group held for sale		$ 1,400			$ 1,900