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Discontinued Operations - Additional Information (Details) - Medicare Part D - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Gain from sale of discontinued operations $ 1,779 $ 0 $ 0
Gain from sale of discontinued operations, net of tax 1,200    
Write-off of deferred acquisition costs 16,400    
Contingent sale price consideration $ 3,600