If you're concerned about the healthfulness of this dish, try using low-carb or whole grain pasta, Smart Balance instead of butter (no transfats and quite a good taste), Evaporated skim milk (straight, not diluted) instead of the heavy cream, and less cheese. Many reviewers seem to think this is too much cheese anyway - just use a good quality parmesan, NOT that pre-grated pap! I have not actually tried these changes with this particular recipe yet, but have with similar recipes with good results.
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If you're concerned about the healthfulness of this dish, try using low-carb or whole grain...