Operating Segments - Schedule of Revenue by Operating Segment (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022	Dec. 31, 2022
Revenue, Major Customer [Line Items]
Premiums earned, net (Net of ceded premiums)	$ 317,086	$ 278,169
Non-Insurance revenue	205,783	594,898
Other income	4,906	1,312
Intersegment revenues	527,775	874,379
Net medical claims incurred	472,490	861,722
Gross profit (loss)	55,285	12,657
Total assets	1,453,589	2,679,894	$ 808,620
Ceded premiums	122	119
Corporate/Other
Revenue, Major Customer [Line Items]
Premiums earned, net (Net of ceded premiums)	0	0
Non-Insurance revenue	0	0
Other income	17,310	27,399
Intersegment revenues	23,231	19,136
Net medical claims incurred	3,448	2,628
Gross profit (loss)	37,093	43,907
Total assets	936,903	1,113,735
Eliminations
Revenue, Major Customer [Line Items]
Premiums earned, net (Net of ceded premiums)	0	0
Non-Insurance revenue	0	0
Other income	(14,671)	(26,358)
Intersegment revenues	(23,231)	(19,136)
Net medical claims incurred	(3,163)	(3,031)
Gross profit (loss)	(34,739)	(42,463)
Total assets	(666,810)	(699,749)
Insurance | Operating Segments
Revenue, Major Customer [Line Items]
Premiums earned, net (Net of ceded premiums)	317,086	278,169
Non-Insurance revenue	0	0
Other income	1,839	271
Intersegment revenues	0	0
Net medical claims incurred	274,504	268,126
Gross profit (loss)	44,421	10,314
Total assets	467,392	406,167
Non-Insurance | Operating Segments
Revenue, Major Customer [Line Items]
Premiums earned, net (Net of ceded premiums)	0	0
Non-Insurance revenue	205,783	594,898
Other income	428	0
Intersegment revenues	0	0
Net medical claims incurred	197,701	593,999
Gross profit (loss)	8,510	899
Total assets	$ 716,104	$ 1,859,741