Redefining Care: Clinical Decision Support Systems at a Turning Point

As healthcare systems across North America confront the rising pressures of workforce shortages, chronic disease burdens, and cost constraints, the need for intelligent, data-driven decision-making has never been more urgent. Clinical Decision Support Systems (CDSS) are stepping into this critical gap — transforming not just how clinicians work, but how healthcare is delivered.

Discover how top innovators like Merative, Optum, and Oracle Health are redefining care with AI-powered decision support.

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According to Frost & Sullivan’s Frost Radar™: Clinical Decision Support Systems in North America, 2025, CDSS is rapidly evolving into a foundational technology for value-based care, with AI integration, real-time analytics, and seamless electronic health records (EHRs) interoperability defining the next generation of tools.

Why CDSS Adoption Is Surging in North America

Healthcare providers increasingly recognize CDSS as a strategic asset rather than a clinical aid. These systems:

  • Enable early diagnosis and timely intervention
  • Reduce preventable complications and readmissions
  • Enhance clinical and operational efficiency across care settings
  • Support home-based and remote care models, particularly in chronic disease management

What’s driving this transformation? Two words: Artificial Intelligence.

From generative AI that helps summarize patient histories to conversational AI that enables natural-language interactions with clinical systems, AI is redefining how decisions are made. And vendors are rising to the occasion.

Frost Radar™: Benchmarking Innovation and Growth

The Frost Radar™ analyzes and benchmarks more than 60 CDSS vendors, spotlighting 10 leaders who are advancing the field through innovation and market growth. These vendors are not just shaping the present — they are building the future of intelligent healthcare.

Frost & Sullivan segments the CDSS market into four key categories:

  1. Evidence/Protocol Tools – Guideline-driven content and referential knowledge
  2. Workflow Optimization – Scheduling, documentation, billing integration
  3. Analytics Platforms – Custom IT tools for tailored clinical insights
  4. Point-of-care Solutions – Real-time insights from EHRs and connected devices

The 2025 Radar™ focuses on point-of-care leaders, many of whom are also strong in the evidence-based segment.

CDSS Industry Leaders to Watch in 2025

Merative – Merative’s Micromedex platform continues to evolve with AI-powered search features and an intuitive user interface across desktop and mobile. By prioritizing user feedback and expanding clinical content, Merative is actively enhancing provider workflows in critical care areas like drug interactions, IV compatibility, and pediatric dosing. Their roadmap includes smarter navigation and embedded AI, making decision support both efficient and intelligent.

Optum – A frontrunner in value-based care, Optum integrates predictive analytics, AI, and real-world evidence across its suite of CDSS tools, including InterQual®, CareSelect®, and CaseAdvisor. Its tools help guide utilization management and point-of-care decisions, optimizing lab and imaging workflows while reducing care variation. Optum’s deep integration with UnitedHealth Group and Change Healthcare further enhances its ability to deliver data-rich, actionable insights.

Oracle Health – Oracle Health is investing heavily in next-gen EHR platforms, with embedded AI and analytics tailored to personalized care pathways. Their Health Data Intelligence platform unifies claims, clinical, and social determinants of health (SDoH) data to inform the next best action for patients. Additionally, device integration (e.g., BMDI) and real-time alerts for contraindications position Oracle Health as a major player in real-time decision support.

Strategic Shifts: From Clinical Tools to Unified Platforms

What sets this new era apart is the expansion of CDSS into operational and administrative domains. By 2030, Frost & Sullivan projects CDSS platforms will support a wide range of activities beyond clinical care — like billing, documentation, and workforce optimization — delivered through unified platforms.

This trend reflects a broader industry move: from siloed systems to integrated, end-to-end decision ecosystems.

CDSS Growth Outlook: What’s Next?

The North American CDSS market is expected to continue its upward trajectory, driven by:

  • AI and Machine Learning Integration
  • Shift to Value-based Care Models
  • EHR Interoperability Standards
  • Expansion into Remote and Home-based Care

For vendors, success hinges on investing in scalable AI, designing for clinician usability, and co-creating solutions with end users.

Conclusion: CDSS as a Strategic Imperative

The Frost Radar™ 2025 makes one thing clear: Clinical Decision Support Systems are no longer just support tools—they’re strategic infrastructure.

As leaders like Merative, Optum, and Oracle Health push the boundaries of AI-enabled care, healthcare organizations have a powerful opportunity to harness CDSS not just to treat — but to transform.

For stakeholders across the ecosystem — providers, payers, policymakers, and technology vendors — the time to act is now.

Want to explore how your organization can leverage AI-powered CDSS to improve care outcomes and efficiency?

Reach out to Frost & Sullivan at hello@frost.com for tailored insights and strategic growth opportunities.

This blog is based on the recent analysis “Frost Radar™: Clinical Decision Support Systems in North America, 2025”, authored by Nitin Manocha, Senior Industry Analyst, Healthcare & Life Sciences Practice, Frost & Sullivan.

Want to dive deeper? Click here to connect with Nitin Manocha and other growth experts In Healthcare & Life Sciences and discover how this analysis can help accelerate your growth strategy.

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