As the state of health care evolves, federal regulations and incentives are on the minds of caregivers. Although a slippery slope, patient engagement is a key driver in meeting those standards to improve care and reduce costs in today's healthcare space. Since the healthcare reform, hospitals and caregivers have strong incentives to capture patient data and utilize it in productive ways. Hospitals now face fines if their readmission rates are too high, and are rewarded if they do well on a benchmark of clinical outcomes and patient surveys. The responsibility for empowering patients does not rest squarely on the shoulders of providers, patients or even technology, but rather on a mix of all three to produce better health outcomes. Although the goal of patient engagement is clearly defined, the road to reach it has remained unpaved.