General (Details 2) (USD $) In Millions	3 Months Ended	6 Months Ended
Jun. 30, 2011	Jun. 30, 2010	Jun. 30, 2011	Jun. 30, 2010
Net revenues
Managed Care Revenue	$ 544.6	$ 591.2	$ 1,094.6	$ 1,174.6
Fee-For-Service and Cost-Plus Contracts Revenue	44.0	48.9	86.4	98.3
Block Grant Revenues	27.0	30.7	53.2	56.8
Dispensing Revenue	56.6	58.7	117.0	119.7
Performance-Based Revenue	$ 10.2	$ 4.8	$ 13.2	$ 5.8

Represents the revenue the co-payments received from members of the health plans the company serves, when the specialty pharmaceutical drugs are shipped.

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Revenue earned during the period arising from products sold or services provided under the terms of a contract, not elsewhere specified in the taxonomy. May include government contracts, construction contracts, and any other contract related to a particular project or product.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.1)
-URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688

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Revenues recognized during the period that were not otherwise reflected in the entity's income statement.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.1(e))
-URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688

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Revenues recognized during the period from services provided to residents in facilities owned or operated by the health care organization (not including patient service revenue), which may be based on contractual rates set forth in agreements with third-party payers.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher AICPA
-Name Audit and Accounting Guide (AAG)
-Number AAG-HCO
-Chapter 8
-Paragraph 10
-IssueDate 2006-05-01
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.1(d))
-URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 954
-SubTopic 605
-Section 45
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6491461&loc=d3e8184-115640

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Revenue earned during the period from non-repayable sum of money awarded to an entity to carry out a specific purpose as provided in grant agreements.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.1(e))
-URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688

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