General - Health Care Reform (Details) $ in Millions	3 Months Ended
Mar. 31, 2021 USD ($)
Summary of Significant Accounting Policies
HIF fees	$ 36.2
HIF fees, continuing operations	$ 12.4

Affordable Care Act, Fiscal Year Annual Fees Paid During Period, Continuing Operations

No definition available.

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Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration