General (Details)	9 Months Ended
Sep. 30, 2014 segment
Operating results by business segment
Number of segments	5
Managed Healthcare
Operating results by business segment
Number of segments	2

Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements.

No definition available.

Name:	us-gaap_NumberOfReportableSegments
Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	duration