White Paper

Why PBMs Matter: 8 Questions for Paul King of MyMatrixx

Paul King, President of MyMatrixx by Evernorth, outlines how to integrate advanced tech and clinical precision to elevate PBMs in a complex regulatory landscape.

White Paper Summary

In July 2025, Dan Reynolds, the editor in chief of Risk & Insurance, caught up with Paul King, President of MyMatrixx by Evernorth. What follows is a transcript of that discussion, edited for length and clarity.

Risk & Insurance®: Thanks for spending some time with us Paul. What has your experience been like during these first weeks as president of MyMatrixx?

Paul King: It’s been about six weeks in the position. The time has gone by quickly, making the year seem very compressed. Having this interview with Risk & Insurance marks one of my first significant engagements in this new role.

R&I: How relevant are Pharmacy Benefit Managers (PBMs) in today’s health care landscape, and what value do they bring to clients?

PK: PBMs are very relevant today and will continue to increase in relevance going forward. For years PBMs, like MyMatrixx, were focused on managing pharmacy spend when opioids represented 15-20% of that spend. We created and implemented solutions to manage the utilization and control the spend of opioids and their associated medications – and we were successful in those efforts.

As pharmacy treatments have evolved however, the relevance and value provided by PBMs continues to increase. The industry is witnessing a rise in specialty medications and more single-source brands are entering the market. This is driven in part by an FDA drug pipeline that is larger than it was four years ago by at least double-digit percentage points. Even though many of the new drugs are healthcare and disease related and not specific to workers’ compensation − cancer medications being a high percentage of these – we often see that what happens in health care inevitably influences our space as well. So, managing chronic conditions is an opportunity for improved outcomes.

To learn more about myMatrixx solutions, please visit their website.

As a PBM focused on workers’ compensation, MyMatrixx is dedicated to highly proactive customer support and a full suite of data-driven pharmacy, clinical and regulatory solutions to mitigate risk and safely guide injured workers on their path to recovery.

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