Operating Segments - Schedule of Reconciliation of Revenue of Segments to Statement of Operations (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Segment Reporting [Abstract]
Gross profit	$ 257,332,000	$ 22,735,000
Salaries and benefits	257,157,000	278,725,000	$ 260,458,000
General and administrative expenses	187,571,000	207,917,000	185,287,000
Impairment of goodwill and other intangible assets	15,945,000	0	0
Premium deficiency reserve expense (benefit)	(7,239,000)	(93,517,000)	110,628,000
Depreciation and amortization	2,509,000	1,187,000	1,246,000
Restructuring costs	9,931,000	0	0
Other expense	0	70,000	191,000
Change in fair value of warrants	86,000	(900,000)	(66,146,000)
Interest expense	7,000	1,333,000	3,193,000
Amortization of notes and securities discounts	0	30,000	13,717,000
Loss (gain) on investment	4,726,000	(9,217,000)	0
Gain on extinguishment of note payable	0	(23,326,000)	0
Net loss	$ (213,361,000)	$ (339,567,000)	$ (587,756,000)