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                                                                   Exhibit 99.1


NEWS FROM: BIRMAN MANAGED CARE, INC. (Nasdaq: BMAN)


Birman                                   Contact: John Foley or Jerry Freisleben
Managed Care, Inc.                                FOLEY/FREISLEBEN LLC
                                                  700 So. Flower St. #1100
                                                  Los Angeles CA 90017
                                                  213/892-6322


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                         BIRMAN MANAGED CARE ANNOUNCES
                       SUBSTANTIAL EXPENSE REDUCTIONS --
                     EXPECTS RAPID RETURN TO PROFITABILITY

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       COOKEVILLE, TENNESSEE, JANUARY 27, 1999 -- Birman Managed Care, Inc. 
(Nasdaq: BMAN), a physician-driven health care consulting and management 
company, today announced that it has implemented substantial overhead and cost 
reductions which are intended to spur a rapid return to profitability.

       These latest measures, totaling in excess of $200,000 per month, 
represent about 25 percent of the company's total expenses. Additional smaller 
expense cuts have been identified and are expected to be implemented by the end 
of February 1999. With these economies, the company expects to record a profit 
from continuing operations in February and March of this year. It is also 
anticipated that the company will incur a small one-time  charge for severance 
expenses in the third quarter ended March 31, 1999.

       David N. Birman, M.D., the company's chairman, president and chief 
executive officer, commented: "Our mandate is to restore the company to 
sustained profitability as swiftly as possible. These measures will return the 
company to a profitable level of operations without reducing our ability to 
generate revenues. We are actively engaged in late-stage negotiations for 
several new hospital contracts and contract renewals which we expect to 
announce over the next 30 to 60 days."                                    (more)
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BIRMAN MANAGED CARE, INC.                                               PAGE TWO



       Dr. Birman continued: "It is our belief that our rededication to our 
core physician-to-physician consulting business, coupled with these stringent 
expense reductions, will enable us to emerge as a leaner, more focused and 
successful company with an improved outlook for profitable growth."

       Birman Managed Care, Inc. is a health care consulting company with a 
physician-focused core competency. Through its subsidiary, Birman & Associates, 
which currently operates at 28 hospitals in 11 states, the company offers a 
range of compliance products and quality management services customized for 
health care providers including hospitals and physician offices. The company 
also operates Hughes & Associates, a provider of licensed pre-certification and 
utilization review services to self-insured employer groups and insurers.

       The information contained herein includes "forward looking statements" 
as defined in the Private Securities Litigation Reform Act of 1995. The 
statements that "the company expects" and statements by Dr. Birman addressing 
future operations are considered to be "forward looking" for purposes of the 
Act. Investors are cautioned that forward-looking statements involve risks and 
uncertainties, including general economic conditions, delays and risks 
associated with the performance of contracts, consumer and industry acceptance 
and regulatory risks.



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