OBJECTIVES:  To measure the impact of geriatric care on patient outcomes using Medicare claims data METHODS:  A matched cohort analysis was performed, comparing patient outcomes among those with and without geriatrician care. The study cohorts were created from claims spanning 2010-2014, representing a random 5% sample of Medicare FFS beneficiaries that were aged 65+ in 2010. Patients with at least one geriatric care claim between (but not before) 2011-2014 were propensity score matched to those without any geriatric care claims from 2010-2014. Survival rates, healthcare resource utilization (HCRU) and costs were compared between matched cohorts. RESULTS:  118,382 patients receiving geriatric care were identified, along with a random sample of 535,526 patients not receiving geriatric care. Samples of the cohorts were taken and propensity score matching was performed to create 10,000 matched pairs. Kaplan-Meier plots comparing the two matched cohorts indicated that, overall, the geriatric care group had shorter survival times than their counterparts. Among sicker patients, however, the analysis suggested that survival times were relatively longer in the geriatric care group. In terms of HCRU, patients receiving geriatric care were, on average, likely to have more inpatient, outpatient and physician office claims (62%, 18% and 49% more, respectively). Mean monthly costs were comparable in the two matched cohorts (p=0.53). CONCLUSIONS:  Geriatric care has the potential to improve the longevity of those afflicted by multiple chronic conditions. Geriatricians’ focus on coordination of care increases the amount of healthcare resource utilization but costs are on par with patients not receiving geriatric care, possibly the result of support that is more efficient and preventative in nature. While only a small proportion of elderly patients receive geriatric care, this study suggests that more patients and the healthcare system at large could benefit from promoting the involvement of and increasing access to geriatricians.