OBJECTIVES:  Fragility hip fractures in geriatric patients are very common events often associated with a wide range of co-morbidities and a high risk of complications. Through a multidisciplinary and integrated approach the Geriatric Fracture Program (GFP) helps to establish streamlined processes and a more efficient care for geriatric fracture patients, resulting in improved clinical outcomes in terms of mortality, time to surgery, complications, length of stay and readmissions. The objective of this analysis is to assess the economic impact of GFP adoption in managing geriatric fracture patients. METHODS: An economic analysis was developed from the Italian National Healthcare System perspective with a 1-year time horizon. Length of stay and readmission rates of current standard of care for geriatric patient hip fractures were compared with GFP recommendations. The clinical parameters were estimated from literature review of European studies on co-managed and multidisciplinary programs specific for elderly patients with hip fractures and performing a pooled analysis. The economic data on hospitalization were estimated on basis of a micro-costing analysis published on the current clinical management of hip fractures in geriatric patients while the costs associated with readmission were estimated according to DRG tariffs. RESULTS: Pooled reductions of length of stay and 1-year readmission rate were equal to 26.86% (7.46 versus 10.20) and 17.92% (28.49% versus 34.71%) in favor of GFP compared to the current clinical practice. As consequence, the economic analysis showed a lower hospitalization costs for GFP than the traditional approach of 17.28% (€ 5,470.94 versus € 6,613.75) and lower costs related to readmission of 17.29% (€ 2,223.26 versus € 2,708.77), showing a total cost savings of € 1,628.32 per patient. CONCLUSIONS: The adoption of co-managed and multidisciplinary programs for hip fracture management of geriatric patients, as Geriatric Fracture Program, results in better clinical outcomes and lower costs.