How to Create New Markets and Avoid Direct Competition: Applying Blue Ocean Strategy to Regional Healthcare
- Waller Hall Research

- Jun 13
- 3 min read
In the Rocky Mountain West and Great Plains, healthcare providers often compete for the same small pool of patients using the same traditional service models. This direct competition often leads to high marketing costs and thin profit margins. Blue Ocean Strategy offers an alternative: instead of competing in an overcrowded market (a "Red Ocean"), an organization creates a new, uncontested market space (a "Blue Ocean") where competition is irrelevant.
This strategy is built on Value Innovation, which is the simultaneous pursuit of making a service better for the patient while lowering the costs for the provider.
1. The Core Principle: Value Innovation
Traditional strategy often assumes a trade-off between cost and quality. Blue Ocean Strategy rejects this. It suggests that by changing how a service is delivered, a provider can offer higher value at a lower cost.
For regional healthcare, this means identifying services that the traditional hospital system provides but that patients find unnecessary or difficult to use. By removing these obstacles and adding features that patients actually value, such as convenience and speed, a provider creates a new demand space.

2. Regional Examples of Blue Ocean Strategy
Telehealth Platforms
Telehealth is a primary example of a Blue Ocean in the West. Traditional healthcare requires patients to travel long distances to a physical facility. This "old model" is expensive for the patient in terms of time and fuel, and expensive for the provider in terms of building maintenance.
Value Innovation: By moving the consultation to a digital platform, the provider eliminates the need for travel and reduces the overhead costs of a physical building. The patient receives faster care (better), and the provider reduces their operational expenses (cheaper).
Retail and Urgent Care Clinics
Retail clinics, small facilities located in grocery stores or standalone centers, create a new market by serving patients who have minor illnesses but do not want to navigate the long wait times and high costs of an emergency room.
Value Innovation: These clinics eliminate the "hospital bureaucracy" and focus on a limited set of common issues. This allows for faster patient throughput and lower staffing costs. They are not trying to be a full hospital; they are creating a new space for "on-demand" care.
3. Implementing Blue Ocean Strategy: The ERRC Grid
To find a Blue Ocean in your territory, use the ERRC Grid to evaluate your current services:
Eliminate: Which factors that the industry takes for granted should be eliminated? (e.g., Eliminate complex registration forms or the requirement to wait in a physical lobby.)
Reduce: Which factors should be reduced well below the industry standard? (e.g., Reduce the number of administrative staff involved in a single patient visit.)
Raise: Which factors should be raised well above the industry standard? (e.g., Raise the level of direct, plain-language communication provided to the patient.)
Create: Which factors should be created that the industry has never offered? (e.g., Create mobile diagnostic units that visit remote agricultural communities on a set schedule.)
4. Taking Territory with New Demand
The goal of a Blue Ocean Strategy is to make the organization more autonomous by removing it from direct competition with large, institutional systems.
Find Unmet Needs: Use primary research to identify what patients in your specific county are currently doing when they cannot access a doctor. Are they delaying care? Are they using home remedies? This "non-customer" group is your Blue Ocean.
Focus on Practical Skill: When launching a new service, ensure it provides a clear, practical result. Patients in the Great Plains and Rockies value competence and the ability to return to their work and lives quickly.
Use Physical Efficiency: Design your new service line to be as streamlined as possible. Every administrative step that is removed increases your profit margin and reduces the time the patient spends in the system.
Summary: Growth through Innovation
Blue Ocean Strategy allows regional healthcare providers to stop fighting for existing patients and start creating new opportunities for growth. By focusing on Value Innovation, delivering better results at a lower cost, providers can build a self-sustaining organization that is not dependent on the traditional, crowded market. This approach ensures long-term financial independence and establishes the provider as a leader in a new, uncontested territory.

