1) Most BIG conference calling companies are registered as competitive local exchange carriers.
2) As CLECs, these companies get to charge for inbound traffic.
3) Charge customers per minute in addition for insane profit.
Companies like FreeConferenceCall.com are basically ignoring the subscriber revenue in exchange for only the inbound tariff (that's their industry disruption).
Example: I setup a conference call bridge on FreeConferenceCall.com and I call in. One other person joins me. I call in on my cellphone and so does the other person. Neither one of us pays for long distance so we don't care, but on the backend, FreeConferenceCall.com is billing our cell providers $.30 per minute.
That's the reason GoogleVoice blocks those numbers, because Google is already eating $.004/min for US numbers, they can't afford to eat calls that cost $.30/min; that's nuts.
This is the same business model that powers MagicJack as well. Just a quick FYI. Paying people for inbound minutes is only for folks that don't have enough volume to get a CLEC-level agreement (you can get CLECs to sell you inbound for $0 or even to pay you for the traffic if you have enough volume). The beauty of Twilio's business model is that they get all of the aggregation benefits of your traffic.
Does that help?
Edit: Also the comment I'm replying to has a ton of great advice!