Segment Reporting (Details) $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2025 USD ($)	Jun. 30, 2025 USD ($)	Mar. 31, 2025 USD ($)	Sep. 30, 2024 USD ($)	Jun. 30, 2024 USD ($)	Mar. 31, 2024 USD ($)	Sep. 30, 2025 USD ($) segment	Sep. 30, 2024 USD ($)
Segment Reporting [Abstract]
Number of operating segments | segment							1
Revenue
Total revenue	$ 24,169			$ 23,476			$ 73,872	$ 80,948
Cost of services
Total cost of services	5,318			6,127			16,911	17,590
Gross profit	18,851			17,349			56,961	63,358
Operating expenses
Depreciation and amortization							1,757	1,281
Total operating expenses	26,552			15,483			62,724	50,179
Operating income (loss)	(7,701)			1,866			(5,763)	13,179
Other income (expense)
Interest expense	(2,432)			(2,962)			(7,440)	(8,468)
Interest income	2,363			3,221			7,220	9,278
Other income (expense), net	185			0			185	0
Income (loss) before income taxes	(7,585)			2,125			(5,798)	13,989
Income tax expense (benefit)	(16)			688			120	4,563
Net income (loss)	(7,569)	$ 1,034	$ 617	1,437	$ 2,902	$ 5,087	(5,918)	9,426
Program fees
Revenue
Total revenue	13,344			14,161			43,487	43,306
Profit share
Revenue
Total revenue	8,470			6,822			23,169	30,037
Claims administration and other service fees
Revenue
Total revenue	2,355			2,493			7,216	7,605
Reportable Segment
Revenue
Total revenue	24,169			23,476			73,872	80,948
Cost of services
Employee compensation and benefits	1,338			2,203			4,199	6,252
Share-based compensation	108			191			319	435
Depreciation and amortization	316			266			792	412
Other cost of services	3,556			3,467			11,601	10,491
Total cost of services	5,318			6,127			16,911	17,590
Gross profit	18,851			17,349			56,961	63,358
Operating expenses
Employee compensation and benefits	8,995			7,636			30,737	26,052
Share-based compensation	1,338			1,995			5,307	5,973
Professional fees	1,992			1,949			6,079	6,966
IT services	961			1,038			2,902	3,287
Depreciation and amortization	307			228			965	869
Other	12,959			2,637			16,734	7,032
Total operating expenses	26,552			15,483			62,724	50,179
Operating income (loss)	(7,701)			1,866			(5,763)	13,179
Other income (expense)
Interest expense	(2,432)			(2,962)			(7,440)	(8,468)
Interest income	2,363			3,221			7,220	9,278
Other income (expense), net	185			0			185	0
Income (loss) before income taxes	(7,585)			2,125			(5,798)	13,989
Income tax expense (benefit)	(16)			688			120	4,563
Net income (loss)	(7,569)			1,437			(5,918)	9,426
Modification of compensation rights, expense	11,000						11,000
Reportable Segment | Program fees
Revenue
Total revenue	13,344			14,161			43,487	43,306
Reportable Segment | Profit share
Revenue
Total revenue	8,470			6,822			23,169	30,037
Reportable Segment | Claims administration and other service fees
Revenue
Total revenue	$ 2,355			$ 2,493			$ 7,216	$ 7,605