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Revenue Recognition - Shared Savings Payable (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Shared Savings Payable [Roll Forward]      
Beginning balance $ 80.8 $ 58.2 $ 0.0
Assumed in Remedy Partners Acquisition 0.0 0.0 65.5
Amounts paid to customer and/or CMS (189.2) (124.8) (129.9)
Amounts due to customer upon completion of performance obligation 171.8 147.4 122.6
Ending balance $ 63.4 $ 80.8 $ 58.2