Whenever a binary classifier is used to provide decision support, it typically provides both a label prediction and a confidence value. Then, the decision maker is supposed to use the confidence value to calibrate how much to trust the prediction. In this context, it has been often argued that the confidence value should correspond to a well calibrated estimate of the probability that the predicted label matches the ground truth label. However, multiple lines of empirical evidence suggest that decision makers have difficulties at developing a good sense on when to trust a prediction using these confidence values. In this paper, our goal is first to understand why and then investigate how to construct more useful confidence values. We first argue that, for a broad class of utility functions, there exists data distributions for which a rational decision maker is, in general, unlikely to discover the optimal decision policy using the above confidence values—an optimal decision maker would need to sometimes place more (less) trust on predictions with lower (higher) confidence values. However, we then show that, if the confidence values satisfy a natural alignment property with respect to the decision maker’s confidence on her own predictions, there always exists an optimal decision policy under which the level of trust the decision maker would need to place on predictions is monotone on the confidence values, facilitating its discoverability. Further, we show that multicalibration with respect to the decision maker’s confidence on her own prediction is a sufficient condition for alignment. Experiments on a real AI-assisted decision making scenario where a classifier provides decision support to human decision makers validate our theoretical results and suggest that alignment may lead to better decisions.