Several insurance companies have tried to share quality information with enrollees by developing “star” systems to rank physicians. While star rankings may be a good way to pick a movie or restaurant, the ACR feels this system may be too simple to serve as a tool for identifying quality healthcare. Consumers need quality information, and need to know the true costs of medical services so they can make informed decisions about their healthcare. This idea is reflected in an executive order President Bush signed in August 2006 requiring government agencies to work with the private sector to gather and share data on the quality and cost of healthcare.