The German federal state of Mecklenburg-Western Pomerania plans to increase its competitive capabilities. Mecklenburg-Western Pomerania aligned its research activities in a case study using a regional foresight approach. Considering possible futures is the first step toward influencing today’s decision. This is effective through the means of a regional foresight process where the actors are encouraged to build networks and alliances. Accordingly, this foresight served as a means for building competency in Mecklenburg-Western Pomerania related to healthcare.