But in short, it's for two reasons. 1) We transfer funds after care is provided (details in the FAQ) and 2) It takes an average of six weeks for care to be provided, which IMO is actually extremely fast considering the context in which our medical partners operate.
If you still have questions after reading the FAQ and associated blog post, happy to answer them here. That said, I really appreciate the analysis of our transparency doc. Crowdsourcing operational feedback is exactly why we make our data public.