Abstract: Health care systems continually strive to enhance care and outcomes for older adults. The Department of Veterans Affairs (VA) has been at the forefront of these efforts through specialized geriatrics programs. A recent comparative effectiveness study examined the impact of geriatrics-focused primary care (GeriPACT) versus standard patient-aligned care teams (PACT) in veterans. While GeriPACT led to increased attention to geriatric conditions, it did not significantly improve key outcomes such as time spent at home, advance directive completion, medication appropriateness, or self-rated well-being over 18 months. The study highlights the challenges of linking improved care processes to tangible health benefits, suggesting that longer follow-up may be needed. Despite mixed results, GeriPACT demonstrated improved patient-clinician alignment and potential efficiency gains. Future research should explore its long-term benefits, cost-effectiveness, and impact on high-risk subgroups to optimize geriatric care delivery.