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We read with interest the article entitled “Too good to last: did Cleveland Health Quality Choice leave a legacy and lessons to be learned?” published recently in QSHC.1 Perhaps relevant in this regard is our study of the claim, repeated by Neuhauser and Harper, that the Cleveland Health Quality Choice (CHQC) project may have improved mortality rates in Cleveland at a faster rate than they were improving elsewhere.2 Using OHA data we found that not to be the case. The rate of improvement in inpatient mortality in Cleveland was …