Case Study: Cincinnati Children's Hospital Medical Center achieves 50% reduction in clearinghouse costs and $400K annual savings with Waystar

Cincinnati Children's Hospital Medical Center - Customer Case Study

Cincinnati Children's Hospital Medical Center, a nonprofit academic pediatric hospital, faced rising cost pressures and declining service from its existing claims clearinghouse. To reduce expenses and stabilize cash flow while preserving revenue-cycle performance, the organization ran an RFP in 2017 and selected Waystar for its claims clearinghouse and revenue cycle solutions.

Waystar scoped hospital, physician and homecare AR, captured and coded billing edits, managed complex payer enrollment, converted paper claims to electronic, and integrated with the hospital’s Epic system to ensure a smooth go‑live. As a result, Waystar cut clearinghouse costs by 50%—about $400,000 in annual savings—while maintaining cash flow and high performance: a clean claims rate above 98%, a 4.1% hospital AR denial rate, roughly 44 days in AR, and 20–25% AR aging over 90 days.

Cincinnati Children's Hospital Medical Center

Charlie Baverman

Assistant Vice President of Billing Operations