NEWT GINGRICH: Want to reform Medicaid? Accountability is the way forward

Thirty years ago this summer, Congress passed the Personal Responsibility and Work Opportunity Reconciliation Act. Welfare reform succeeded because it recognized a simple but powerful truth: Public programs work best when they reward responsibility, accountability, and innovation. States make better decisions when they have both authority and responsibility for the results. By giving governors greater flexibility while also making them more accountable for the outcomes, we encouraged states to r