At a time in healthcare when providers are being judged (sometimes harshly) by payers, both public and private, on their ability to engage and satisfy patients, the broad arena of patient engagement/patient satisfaction is becoming increasingly urgent. Differential reimbursement around patient satisfaction is becoming increasingly important across a variety of public and private payer payment regimens, and as value-based reimbursement becomes the norm, even the seemingly smallest elements around satisfaction will loom increasingly large when it comes to dollar rewards (and discounts).