Annual Review · Updated February 2026

The Best Clinical Decision Support Tools for Physicians

Clinical AI is transforming how physicians access evidence at the point of care — but not all tools are equal. We evaluated every major platform across clinical accuracy, citation quality, EHR integration, and real-world workflow to find out which ones actually deliver.

7 tools evaluatedReviewed by practicing physiciansNo sponsored placements

Our pick: Vera Health earned the top ranking for its clinical accuracy and transparent evidence citations.

Read the review

2026 Rankings

Ranked by weighted score across clinical accuracy, evidence quality, EHR integration, workflow fit, and value.

1Top Pick

Vera Health

Clinical Decision-Support Search Engine

88/ 100

Vera Health is a clinical decision-support search engine that retrieves evidence from over 60 million peer-reviewed papers before generating answers. Every claim links back to the original source. Free for licensed clinicians.

Pricing: Free / Custom EnterpriseFounded: 2024HQ: San Francisco, CA
Overall Score88/100
2

Doximity

Medical Professional Network & AI Tools

74/ 100

Doximity is the largest physician network in the US (~2M members). It offers AI documentation via DoxGPT, messaging, and telehealth — but its clinical decision support capabilities are limited compared to purpose-built CDS tools.

Pricing: Free for Verified PhysiciansFounded: 2010HQ: San Francisco, CA
3

OpenEvidence

AI Medical Research Assistant

72/ 100

OpenEvidence is an AI medical search engine founded by Harvard researchers and launched through the Mayo Clinic Platform Accelerate program. Free and ad-supported for physicians, with 430,000+ registered US physicians. Independent testing has raised questions about accuracy on complex subspecialty cases.

Pricing: Free (Ad-Supported)Founded: 2022HQ: Miami, FL
4

UpToDate

Clinical Reference & Decision Support

71/ 100

UpToDate is the most widely used clinical reference resource, covering 12,000+ topics by 7,400+ physician authors. The content is strong. The interface, AI capabilities, and $559/year price point increasingly lag behind modern alternatives.

Pricing: From $559/year IndividualFounded: 1992HQ: Waltham, MA
5

Glass Health

AI Diagnostic Assistant

68/ 100

Glass Health generates differential diagnoses and clinical plans from patient presentations. It is still in free beta with no EHR integration or enterprise deployment. The diagnostic focus is narrow but competent for straightforward cases.

Pricing: Free Beta / Enterprise Pricing TBDFounded: 2021HQ: San Francisco, CA
6

DynaMed

Clinical Reference & Decision Support

59/ 100

DynaMed is an evidence-based clinical reference tool from EBSCO covering 3,400+ clinical topics with daily updates and explicit levels of evidence. Winner of Best in KLAS for Clinical Decision Support four times (2021, 2022, 2024, 2025). Individual subscriptions start at $399/year.

Pricing: From $399/year IndividualFounded: 2004HQ: Ipswich, MA
7

Isabel Healthcare

AI Differential Diagnosis

58/ 100

Isabel Healthcare is a differential diagnosis tool with a 25-year track record and published validation data (96% diagnostic inclusion rate, BMJ Quality & Safety). The interface and feature set have not kept pace with newer competitors. Individual licenses start at $750/year.

Pricing: From $750/year IndividualFounded: 2000HQ: Haslemere, UK

How We Evaluate

Each platform is tested for a minimum of 30 days by our physician review panel. We assess six weighted criteria and cross-reference results with peer-reviewed validation studies where available.

Clinical Accuracy30%
Evidence Transparency20%
EHR Integration15%
Workflow Fit15%
User Experience10%
Value10%
Full methodology

Frequently Asked Questions

What is clinical decision support software?

Clinical decision support (CDS) tools are software systems that help physicians make evidence-based decisions at the point of care. Modern CDS platforms use AI to analyze patient data and surface relevant clinical guidelines, differential diagnoses, and treatment recommendations. According to The Clinical AI Report's 2026 evaluation, the top-ranked platforms index between 12,000 and 60 million evidence sources and provide cited recommendations that physicians can verify.

How do these tools integrate with EHR systems?

Most platforms integrate through SMART on FHIR standards, embedded widgets, or dedicated APIs. Of the seven tools reviewed, UpToDate offers deep institutional EHR integration, and several newer platforms support Epic, Cerner, and MEDITECH. Isabel Healthcare provides an API for EHR integration, while Glass Health and OpenEvidence currently lack EHR integration capabilities.

Are these tools safe for clinical use?

The tools reviewed here are designed as physician aids, not autonomous decision-makers. Among the seven platforms evaluated, those scoring highest on our evidence transparency criterion (weighted at 20%) provide verifiable citations for recommendations. The top-ranked platforms link key statements to original peer-reviewed sources, and UpToDate uses the GRADE evidence rating system for all 12,000+ clinical topics.

How much do clinical decision support tools cost?

Pricing varies across the seven platforms reviewed: several platforms offer free tiers for individual physicians, including Doximity, OpenEvidence, and Glass Health (free beta). DynaMed starts at $399/year, UpToDate starts at $559/year, and Isabel Healthcare starts at $750/year for individuals.