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Summary of Significant Accounting Policies - Goodwill (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
segment
Oct. 01, 2018
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Goodwill          
Goodwill impairment $ 0        
Goodwill   $ 1,018,156   $ 1,006,288 $ 742,054
Commercial          
Goodwill          
Goodwill       242,255  
Government          
Goodwill          
Goodwill       368,612  
Behavioral & Specialty Health          
Goodwill          
Goodwill   $ 410,869      
Magellan Complete Care          
Goodwill          
Percentage of fair value in excess of carrying amount   5.00% 5.00%    
Goodwill   $ 211,735      
Healthcare          
Goodwill          
Number of reporting units | segment   2      
Pharmacy Management          
Goodwill          
Goodwill   $ 395,552   $ 395,421