Four New Members Join NCQA’s Evaluation Programs Committee

January 26, 2026 · Becky Kolinski

NCQA relies on expertise and insights from diverse stakeholders as we develop and evolve our products and programs. Our committees are an important source of feedback. Recently, we merged the Standards Committee and the Clinical Programs Committee into the newly established Evaluation Programs Committee.

“From value-based care to digital quality measurement, collaboration between payers and care delivery systems is essential for success,” says Lori Ferguson, NCQA’s Senior Vice President, Product and Customer Operations. “Combining payer and provider perspectives within a single committee will help NCQA evolve our Accreditation and Recognition programs to be more integrated.”

Role of the Evaluation Programs Committee

The Evaluation Programs Committee advises the NCQA Board of Directors on standards and other requirements proposed for use in NCQA products. The Board has final approval over all requirements.

The committee supports NCQA’s mission by:

• Bringing together different healthcare constituents to achieve consensus about meaningful and feasible quality assessment requirements for NCQA products.
• Participating in the ongoing review and revision of existing requirements, as well as developing new requirements for evaluating the structure, processes and outcomes of quality management systems in healthcare organizations.
• Reviewing and incorporating input from public comments and other advisory committees throughout the process.

Members of the Evaluation Programs Committee

The committee includes 16 voting members representing a broad base of stakeholders, including purchasers, organizations evaluated through NCQA programs, consumers and other quality experts. Below are the members of the Evaluation Programs Committee, including the four new members:

• Victor Caraballo, MD, MBA (Co-Chair), Independent Consultant
• Steven Lewis, MD, MPH (Co-Chair), Associate Chief Medical Officer, ConcertoCare
• Suzanne Berman, MD, FAAP, Managing Partner, Plateau Pediatrics; Medical Director of Informatics and Instruction, Office Practicum
• Adriana Matiz, MD, Medical Director, Center for Community Health Navigation, New York Presbyterian Hospital; Professor, Columbia University Medical Center
• Bridget McCarty, MPH, Independent Consultant
• Amy Milewski, MD, Vice President and Associate Chief Medical Officer, Clinical Partnerships, Blue Cross Blue Shield of Michigan
• Rebecca Robinson, MPH, Chief of Staff and Director of Strategy, Chief Medical Office, TennCare
• Dorothy Siemon, JD, Senior Vice President, Office of Policy Development and Integration, AARP
• Monica Soni, MD, Chief Medical Officer, Covered California
• Sara Spilseth, MD, MBA, Medical Director, HealthPartners Access Center, Health Partners
• Debbie Welle-Powell, MPA, Chief Executive Officer, DWP Advisors; Adjunct Professor, University of Colorado
• Cynthia Williams, MSW, LCSW, Vice President, Quality Accreditation, Centene Corporation

New Members

• Nisha Basu, MD, Chief Clinical Officer, Firefly Health
• Tosan Boyo, MBA, Founder and Managing Partner, Olusan Platforms
• Emily Kipping, Vice President Network Strategy Products, Blue Health Intelligence
• Brian Wheeler, Executive Vice President, Health Services Division, CareFirst

Thank you to our committee members for sharing their knowledge and insights to support the development of NCQA standards and programs.