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Commitments and Contingencies (Details) - USD ($)
$ / shares in Units, $ in Millions
1 Months Ended 2 Months Ended 6 Months Ended 12 Months Ended 44 Months Ended
May 24, 2018
Jul. 26, 2019
Dec. 31, 2015
Jun. 30, 2019
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Jun. 30, 2019
Mar. 31, 2019
Oct. 26, 2015
Commitments and Contingencies                    
Percentage of total net revenues generated by AFSC       2.00% 2.00%          
Maximum | Pharmacy Management segment network provider pricing dispute                    
Commitments and Contingencies                    
Estimate of possible loss       $ 20.0       $ 20.0    
Minimum | Pharmacy Management segment network provider pricing dispute                    
Commitments and Contingencies                    
Estimate of possible loss       $ 0.0       $ 0.0    
October 2015 Share Repurchase Program                    
Commitments and Contingencies                    
Amount authorized under stock repurchase plan $ 400.0                 $ 200.0
Increase in amount authorized under stock repurchase plan $ 200.0                  
Share repurchases made in open market (in shares)   0 345,044 60,901 844,872 280,140 1,828,183 3,359,140    
Average Price Paid per Share (in dollars per share)     $ 53.46 $ 61.15 $ 74.59 $ 77.67 $ 58.40      
Aggregate Cost     $ 18.4 $ 3.7 $ 63.0 $ 21.8 $ 106.8 $ 213.7    
Remaining authorized repurchase amount                 $ 186.3