Only 15% of Sustainable Development Goal targets with sufficient data are on track despite increasing corporate disclosure of social impacts. The challenge lies in converting recognition into measurable action and economic demand for outcomes. The Impact Economy report, developed by global organizations, uses healthcare as a case study to analyze the "impact paradox" and highlights roles for social innovators, governments, corporations, investors, philanthropy, and intermediaries. It identifies four demand pathways—regulatory, commercial, financial, and collaborative—and demonstrates how measurable social outcomes can be linked to economic value and financed at scale. The report urges coordinated efforts to integrate impact fully into economic decision-making beyond mere disclosure.