Our medical costs are out of control. Some local companies are trying value-based health plans. Are they the answer?

!--paging_filter--pHealth insurance exchange confusion? Not so in Washington.

Kathryn is in her early 50s and lives on the shore of Lake Washington with her husband, Bill, in an elegant contemporary home filled with sunlight and exquisite art. Bill, a successful entrepreneur, retired in his mid-50s.

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In the midst of health care reform and institutional consolidation, local hospitals and clinics are touting new facilities and programs in an effort to keep themselves current and comprehensive in the eyes of consumers.