Segments (Details) - Business Segments - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Segment Reporting Information [Line Items]
Revenues	$ 314,800	$ 270,566	$ 620,921	$ 526,895
Claims Expense	231,102	206,738	464,671	400,875
Other Cost of Services Sold	43,429	34,455	79,754	70,301
Technology and Development Expense	8,190	5,232	15,150	10,132
General and Administrative Expense	15,253	13,136	29,926	34,153
Selling and Marketing Expense	17,874	20,769	34,717	42,411
Depreciation, Depletion and Amortization	4,376	3,253	8,161	6,455
Income (Loss) from Equity Method Investments	(47)	(73)	(150)	(144)
Operating Income (Loss), Total	(5,471)	(13,090)	(11,608)	(37,576)
Interest Expense	3,655	2,940	7,251	5,327
Other Nonoperating Income (Expense)	(3,220)	(2,078)	(6,063)	(3,980)
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest	(5,906)	(13,952)	(12,796)	(38,923)
Subscription business [Member]
Segment Reporting Information [Line Items]
Revenues	208,618	173,253	409,752	338,463
Claims Expense	155,480	134,295	307,835	263,283
Other Cost of Services Sold	20,260	17,225	40,036	34,328
Technology and Development Expense	5,428	3,350	9,998	6,508
General and Administrative Expense	10,108	8,411	19,749	19,484
Selling and Marketing Expense	17,862	20,707	34,688	42,298
Depreciation, Depletion and Amortization	2,900	2,083	5,385	4,147
Operating Income (Loss), Total	(3,420)	(12,818)	(7,939)	(31,585)
Other Segments [Member]
Segment Reporting Information [Line Items]
Revenues	106,182	97,313	211,169	188,432
Claims Expense	75,622	72,443	156,836	137,592
Other Cost of Services Sold	23,169	17,230	39,718	35,973
Technology and Development Expense	2,762	1,882	5,152	3,624
General and Administrative Expense	5,145	4,725	10,177	14,669
Selling and Marketing Expense	12	62	29	113
Depreciation, Depletion and Amortization	1,476	1,170	2,776	2,308
Operating Income (Loss), Total	$ (2,004)	$ (199)	$ (3,519)	$ (5,847)