A health insurer's Medical Loss Ratio (MLR) is the share of premiums spent on medical claims. As part of the goal of reducing the cost of health care coverage, the Affordable Care Act introduced minimum MLR provisions for all health insurance sold in fully-insured commercial markets as of 2011,...

The COVID-19 pandemic poses a tremendous challenge to health care systems around the globe. Using original panel survey data for the case of Germany, this paper studies how specific trust in the health care system's ability to cope with this crisis has evolved over the course of the pandemic. It...

Proponents of private healthcare often claim that the private sector is more 'efficient' at delivering healthcare services. This paper tests the privatization thesis in the context of the COVID-19 pandemic. Using a large sample of countries, I investigate how healthcare privatization affects the...

How has government healthcare spending prepared countries for tackling the COVID19 pandemic? Arguably, spending is the primary policy tool of governments in providing effective health. We argue that the effectiveness of spending in reducing COVID deaths is conditional on the existence of...