http://www.technologyreview.com/featuredstory/520441/a-tale-of-two-drugs/ says that Vertex offers a cystic fibrosis drug for $307,000 per year to insurance companies and Medicaid/Medicare. The article also notes that Vertex offers the drug for free to patients who are uninsured. Doesn’t that give an incentive to an insurance company to cooperate with the patient? Instead of paying for 20 years of this drug ($6 million), the insurance company could give the patient $2 million to drop his or her policy. With that $2 million, the patient could buy health care as needed and get the $307,000/year drug for free.
What stops an insurance company from offering this incentive?