Goodwill and Intangible Assets - Schedule of Intangible Assets (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	$ 40,761	$ 37,970
Accumulated Amortization	(3,143)	(2,854)
Finite Lived Intangible Assets Net	$ 37,618	$ 35,116
Weighted Average Life
Goodwill, Gross Carrying Value	$ 32,044	$ 29,303
Goodwill, Accumulated Amortization	0	0
Goodwill, Net Carrying Value	32,044	29,303
License (indefinite lived)
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	4,967	4,917
Accumulated Amortization	0	0
Finite Lived Intangible Assets Net	$ 4,967	$ 4,917
Weighted Average Life
Plan Member Relationship
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	$ 2,700	$ 2,700
Accumulated Amortization	(2,516)	(2,311)
Finite Lived Intangible Assets Net	$ 184	$ 389
Weighted Average Life	9 years	9 years
Other
Indefinite Lived Intangible Assets By Major Class [Line Items]
Gross Carrying Value	$ 1,050	$ 1,050
Accumulated Amortization	(627)	(543)
Finite Lived Intangible Assets Net	$ 423	$ 507
Other | Minimum
Indefinite Lived Intangible Assets By Major Class [Line Items]
Weighted Average Life	2 years	2 years
Other | Maximum
Indefinite Lived Intangible Assets By Major Class [Line Items]
Weighted Average Life	10 years	10 years