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Summary of Significant Accounting Policies - Goodwill - Reporting Units (Details) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Goodwill      
Goodwill $ 873,779 $ 806,421 $ 806,421
Behavioral & Specialty Health      
Goodwill      
Goodwill $ 478,227 $ 410,869  
Reporting Unit, Name of Segment mgln:HealthcareSegmentMember mgln:HealthcareSegmentMember  
Pharmacy Management      
Goodwill      
Goodwill $ 395,552 $ 395,552  
Reporting Unit, Name of Segment mgln:PharmacyManagementMember mgln:PharmacyManagementMember